Dr David Muggeridge D.Muggeridge@napier.ac.uk
Lecturer
Dr David Muggeridge D.Muggeridge@napier.ac.uk
Lecturer
Kara Callum
Lynsey Macpherson
Nick Howard
Claudia Graune
Ian Megson
Adam Giangreco
Susan Gallacher
Linda Campbell
Gethin Williams
Ashish Macaden
Stephen J. Leslie
Atrial fibrillation (AF) is a major cause of recurrent stroke and transient ischaemic attack (TIA) in the UK. As many patients can have asymptomatic paroxysmal AF, prolonged arrhythmia monitoring is advised in selected patients following a stroke or TIA. This service evaluation assessed the clinical and potential health economic impact of prolonged arrhythmia monitoring post-stroke using R-TEST monitoring devices.
This was a prospective, case-controlled, service evaluation in a single health board in the North of Scotland. Patients were included if they had a recent stroke or TIA, were in sinus rhythm, and did not have another indication for, or contraindication to, oral anticoagulation. A health economic model was developed to estimate the clinical and economic value delivered by the R-TEST monitoring. Approval to use anonymised patient data in this service evaluation was obtained.
During the evaluation period, 100 consecutive patients were included. The average age was 70 ± 11 years, 46% were female. Stroke was the presenting complaint in 83% of patients with the other 17% having had a TIA. AF was detected in seven of 83 (8.4%) patients who had had a stroke and one of 17 (5.9%) patients with a TIA. Health economic modelling predicted that adoption of R-TEST monitoring has a high probability of demonstrating both clinical and economic benefits.
In conclusion, developing a post-stroke arrhythmia monitoring service using R-TEST devices is feasible, effective at detecting AF, and represents a probable clinical and economic benefit
Muggeridge, D., Callum, K., Macpherson, L., Howard, N., Graune, C., Megson, I., …Leslie, S. J. (2022). Clinical and health economic evaluation of a post-stroke arrhythmia monitoring service. British Journal of Cardiology, 29(2), 46-51. https://doi.org/10.5837/bjc.2022.015
Journal Article Type | Article |
---|---|
Acceptance Date | Feb 7, 2022 |
Online Publication Date | May 31, 2022 |
Publication Date | May 31, 2022 |
Deposit Date | Jun 3, 2022 |
Publicly Available Date | Jun 27, 2022 |
Journal | The British Journal of Cardiology |
Print ISSN | 0969-6113 |
Peer Reviewed | Peer Reviewed |
Volume | 29 |
Issue | 2 |
Pages | 46-51 |
DOI | https://doi.org/10.5837/bjc.2022.015 |
Public URL | http://researchrepository.napier.ac.uk/Output/2875681 |
Publisher URL | https://bjcardio.co.uk/2022/05/clinical-and-health-economic-evaluation-of-a-post-stroke-arrhythmia-monitoring-service/ |
Clinical And Health Economic Evaluation Of A Post-stroke Arrhythmia Monitoring Service (accepted version)
(89 Kb)
Document
Copyright Statement
Copyright of Medinews (Cardiology) Limited. Full citation: Callum K, Muggeridge DJ, Giggins OM et al. Clinical application of physical-activity monitoring in patients with CIEDs Br J Cardiology 2020;27:115-8. doi:10.5837/bjc.2020.035
Clinical And Health Economic Evaluation Of A Post-stroke Arrhythmia Monitoring Service (Figures 1-3)
(220 Kb)
Document
Objectively Measured Sedentary Time in Children and Their Parents
(2016)
Journal Article
Patterns of Sedentary Behaviour in Female Office Workers
(2016)
Journal Article
About Edinburgh Napier Research Repository
Administrator e-mail: repository@napier.ac.uk
This application uses the following open-source libraries:
Apache License Version 2.0 (http://www.apache.org/licenses/)
Apache License Version 2.0 (http://www.apache.org/licenses/)
SIL OFL 1.1 (http://scripts.sil.org/OFL)
MIT License (http://opensource.org/licenses/mit-license.html)
CC BY 3.0 ( http://creativecommons.org/licenses/by/3.0/)
Advanced Search